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M■ Ag, a .. , N . . ,•, 0:.,' tp ;4 UZ -4 CD CD CD C3 CD a 4. 4/1 (oft d...• ..,........ ,,................„................. ....................................... 1...........................,...............-, CO �E't IIB .#41K `1 1` 111 >:::>:.;:::::111111 • • Date /a��L/Qk::::::.By::::::,,.: I 2QUlC3117ft W4L.1.5 Date /.,Z At 7 i By Date j 2_/(-9 2 By 'b l- 4 Date By I 5 Date By I 6 Date By Date By ................................................................................................. ............................................................................................... ................................................................................................. 8 PLUMPING:::Rgjf7‘A[1=1W:::>::::>::>:::<::>:>::::>::::::::::::>:<:>:::>::::>::::>:::<:»:<:>::::: ................................................................................................. Date By 9 Date By 10 QN > > > > > Date By 7 11 Date S,r� ), . : By 12 .INS _ 7'14 By :::. ....6/ f Ad .. Date 1 13 G11VL3 13:'C Ia [ > �J/' Date }�,(//Z,/yq By.# I 14 ?�:l i'8: »ik6..4Y R< <'> ` .; €<;>;« .11 '11.11€.<<;11;»1111:1111:11::': Date By 1 5 Date By 16 Date By 1 17 Date By 18 Date By 19 8.t1IL DING F E :`:< »>. „:::: Date //oho By /11.0 e 2 Date By CD0193(Rev 4/97) • 1N CITY OF = POST THIS CARD ON FRONT OF BUILDING • _ F_,p • • ' BUILDING DEPARTMENT uv FAY INSPECTION RECORD • • . INSPECTION REQUEST PHONE NO. 253-661-4140 Request must be received by 3:30 PM for next day inspection SEE REVERSE FOR ADDITIONAL INFORMATION PERMIT NO.: BLb98-0558 SETBACKS-FRONT: 20.00 SIDE: 5.00 REAR: 5. 00 OWNER'S NAME: KENNETH BROSSEL SITE ADDRESS: 1254 SW 301ST ST ( ') FOOTINGS/SETBACK . • 1 . ( ) FOUNDATION WALL 4.2 /8Ak- DO!NOT POUR CONCRETE UNTIE:::>THE.ABOVE:IS:APPROVED ( ) DRAINAGE Line Connection ( ) PLUMBING GROUNDWORK ( ) SLAB INSULATION r2... g D� N07:P.OtRSAI3 I)NTIM. TH <>h1I0YE .iB APPRt'� hD ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water pipe ( ) ROUGH MECHANICAL Gas Pipe ( ) SHEATHING Roof • Floor ( ) ELECTRICAL ROUGH-IN ( ) FRAMING 6/4/711 D. NOT:: V <: TIC TIDE � OVE IS�► >VED:`< > <::>> > ::::.:;: .:. :`'. ( ) INSULATION: Floors Walls j- - 9 Attic ( ) WALLBOARD NAILING //j/?f 7,4/( ) SUSPENDED CEILING ::::>:::<:«::.::.;:.: .....>::>::>flO::;NOT.APPL�f>::. ; . N <: I LS UNT�Ei:> iHE..�4ga►VE . ::>A :.::::: � :: :>:::::::::::::>:;::.:;:.;:.::.:::.;::.::.; ( LECTRICAL FINAL /2 - z 7- Sy ----- ( ) PLANNING DEPARTMENT ( ) PUBLIC WORKS DEPARTMENT , ( ) FIRE DEPARTMENT • ( ) FINAL.INSPECTION (Building Department) / 9� • I • CITY9F •_ • • r_ �n • BUILDING DIVISION \y'N) Qom �� / 33530 1ST WAY SOUTH ■■ FEDERAL WAY, WA 98003 661 -4000 CORRECTION NOTICE � ��j /�1/J Sk �' ,n ADDRESS: jiv f 4 W ✓ PERMIT Z97': VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BEL W: She 11 19-c A tod 41 Sin 44..e. dei'c1 s a At r Iva L o/f )LA 1 ��hest/ pv,n± ,n fAt �i i?Ol / )6k/ 11/?7� iii ce 04 ,C Sri cal -C;401 i I1 9f fAts. 61A °t/e' ca,r'e c fJ v You ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 661-4140 FOR RE-INSPECTION. /e/zia/9f DATE INSPECTOR FOR BUILDING DEPARTMENT DO NOT REMOVE THIS NOTICE 04 $UII DING DIVISION ar .rG n/fj 33530 First Way South =� _DAL _,�t� REVISION DA Federal Way,WA 98003 uV Fly /1�" (253)661-4000 Ste''° OCT 0 1 1998 Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT PLEASE PRINT -- - ....„- APPLICATION # 3{..b7 6 »> Address 1 J Tenant(if known) Lot# Asse o 's Tax# -� B ilding Ow er's Name Address '2-)0 S1 -i k o st L 41!qua f oref rj I SW Ci -.11 ! j( • w State fit/ it Zi. % Phone Nature of Work ! J. :'}'v^ ' �� ° - k)le .,"C 4 L 9 iN kkiakilliallininlid Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax IiiiiiiiiiiiiidiaiiiiiiliditiliNIENI Company Name (f n ' rn(l I _ Address 511 5 ` 'bath n� City r V L/G LLN L_ boll 1 State / Zip ci5oz3 Contact Person in L pr `'ie( Phon$ / I ...1056k, Fax Contractor's it(card must be presented) i Expiration Date Verified ❑ Yes ❑ No LL, Name 6 1 vc:- 54I,0 12Ce 1 r&1.S Address ro X /j j ,/(�,06 City FEp�,, t, I State tOfr Zip CITJ Contact Person Phon Fax On.DESCRIPTION j i 0 2L -. i iziA)6 0 r J '1 /;Sr J i f fri 9 ccuntii Please Complete Reverse Side i i V.MO' fE: :: :: : : : ; ; Existing Proposed Use Permit includes: Building ❑ Plumbing ❑ Mechanical El Other Type of Work: �)K Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial El Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area . Z(.) sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft 2 t2,006 Water Ava�lability,,Yf Sewer Availability ❑ On-Site Sep��?S�y^s�tem Availability ❑ Project Valuation $ Zoning (-)5--��j•O J Lot Size Z(01 UV S Existing Bldg Valuation $ ..............:.......:............ Name Address City b State I Zip .. .. GAS. }3YiF1H.a'.7..�:R. .:::: il Contractor Name Address / City / State _Zip Contact ' Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Contractor Name Address City State Zip Contact Phone Fax . License # Expiration Date Verified ❑ Yes ❑ No Water CI ets Sinks Urinals Lawn Sprinklers Bathtub Dish Washers Drinking Fountains Other Show s Electric Water Heaters Sumps Lavatories Washing Machine Drains rotel:Fizttx. .... zE: ;>;:i; ! 1 Er E N1 A* 7Ni f U1VT .::.: :. a MECHANICAL EVAL ATI ON ONLY S 01,0 Co Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Furn <100K BTUs Range Air Handling > = 10,000 CFM 30 50 Tons lGas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burner Duct Work rJ C-5 0-3 Tons Underground BBQ's Wood Stoves V 3-15 Tons Total<U nth Cmunt........ ; DISCLAIM ER:I certify under penalty of perjury that the information furnished a is true and correct to the best owledge,and further,that I tho• y e owner of the above premises to perform the work for which permit application is made. further agree to save harmless the ity of Federa Way as to any claim(including costs,expenses,and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: --t__, ) , Date: /i igb RUIIDIMG.APP REVISED 8/26/97 •sews* •I.Co dy flflaNh Deparknent _143 R17 E �e�at WayMerdE�gols *ILE-KING COUNTY DEPARTMENT OF PtELIC OLIN • l� ENVIRONE�TAL HEALTH SERVICES Bellevue,WA can • Total Fee: $125:00 • APPLICATION FOR HEALTH DEPARTMENT • APPROVAL OF BUILDING PERMIT Submit application, route map, building permit plot plans, and other required documents in triplicate. The following mist be completed and the fee must accompany this application: Note: If the property 1s located in unincorporated King County, make direct application to the King • County Building and Land Development Division (B.A.L.D.). Properties in incorporated cities apply to local building departments. PROPERTY INFORl4ATION T 7j t<House/strUcture is served by an on-site sewage (septic) system • Distance to the nearest public sewer 120: rr • Cat: Address of property I 2-5 4- Ste: 57. t-r i Z.cz - ( ,r L T 5©Z' Parcel Number (Tax Lot Account #) 5-715- 32-0 - 6) Z.85 '( Applicant's name )6c-.4NOi -2-0SSe / L- Tr-k. 12-.E. xf}ay Phone (G>p) 9,3q - . k c® Applicant's mailing address Ate=0 ts' Owner's name a:.ve- Day Phone Age'of house 2-0 Number of existing bedrooms Existing square footage of house 2-444.4 Are additional bedrooms being constructed or created? MC Description of proposed changes/remodeling (attach plot plans, showing existing structure, remodeling and septic system): New square footage.after construction 3 U 411- SEWAGE SYSTER INFORIMATION Approximate dates septic tank was pumped (attached receipts) r 417 L3 Le:A, 1j Additions or or major landscape changes since house was constructed (examples: add family room, bed- rooms, garage, patio, deck, pool, etc.; major fills or excavations done.in landscaping): • • Additions or repairs to sewage system (give. date and describe briefly) ))c U 1 Other information which would be helpful in evaluating the sewage system (ie. drainfield easements, covenants, etc.): WATER SUPPLY INFORMATION Public system (2 or more connections) 0 Private (well, spring, etc.) Attach copies of well log, well Name of Public Supply covenants, chemical/bacteriological • sample reports • FOR HEALTH DE?ARTMEHT USE ONLY Date Recet veo APPROYED 1�-\�-"�i BY:�C� rvv� u Date • Q DISAPPROVED BY: Date S&%V ■N—\Gt Comments/Conditions: -o"._ Any person aggrieved by any decision or final order of the Health Officer may make written application for appeal to the King County Board of Sewage Review if done so within 60 days of the above decision. /hd/sewage/forms/form37/1/10/94 00 • µ 4] CJI VI 11" 17 19'33 co 0 RETURN ADDRESS: ti'I•) �tz0 r_ jGr4I2 N}O 2 /2S4 5,) C I t„ FecL 4aJ LJci ' . L)"- . 760 15 0 DECLARATION OF COVENANT g (Bed Room Restriction) In consideration of approval by King County of Building permit applicatio Job no. for the property described below, /G21 J ✓tZC� Z /L,� �'�er owners hereby covenant and agree as follows: co I. I/we,the grantor herein, is(are)the owner_in fee simple of(an interest in)property within King County,which is legally described as follows: (Legal Description): tor 17 MAI2ttsti thitz; t� -s £� egAi Parcel Number: 5•/6' ?, .r Z P3 S On which a residence has been cons ructed having a designated address of: /24 � Sc� / `� retie-4.0J z..36:_y c.oa• gEoZ3 2. I/We have requested the issuance by King County of the following permit or approval of the above described property:110,F3 4(O 2,53 (Job number) 3. I/We recognize that the septic system serving this residence is sized to accommodate the sewage generated from a 3 bedroom home. I/We further recognize that it is the purpose of these grants and covenants to limit the number of bedrooms in this residence(house)to 3 4. I/We recognize that construction or use of additional rooms as bedrooms beyond said limit may overload the septic system. 5. I/We hereby agree not to construct,maintain,or suffer to be constructed or maintained upon said land a residence having more than 3 bedrooms. 6. This Declaration of Conditions, Covenants and Restrictions is binding upon our heirs, assignees and successors in interest as the owners of the above-described property and is a covenant running with the land. 7. This Declaration of Conditions,Covenants and Restrictions shall not be released without the expressed written approv. of the Sea ;/King Ccunty departmen of Publi Flea r its such ssor. 12 '`'"1 �_ 6_ ' ij MAIt J (i wner) (Signature) i n•r ( ignature) On This day of NO , 19, 90 ,before me personally appeared: To me known to me as the(Individuals)(' s-c A1/4 -\\, the corporation)described herein and who executed the foregoing instrument as their free add voluntary act and deed for the uses and purposes herein mentioned. Witness my hand and S e talgINfi g the 11-e/."-day of j\J,, , 19 Clcc . eiMC /cr... '• (Notary Pu#4, c in and or the Sta of f r : W _ Washington;residing at cagaAa *� g Z • b Filing: V•;9i.„.• BE ! t1�e°•Department 1 County Adm 6� •taw 4th and James Seattle,wash 98104 C:Form:Declaration of Covenant/Bedroom restrictions 3/23/98